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International Journal of Public Health Excellence (IJPHE)
Published by PT Inovasi Pratama Internasional
ISSN : -     EISSN : 28099826     DOI : https://doi.org/10.55299/ijphe
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
International Journal of Public Health Excellence (IJPHE), ISSN 2809-9826 (online) has a subject area as follows, but is not limited to the following health areas that are reproduction health, medical service, health statistics, health management, oral hygiene, medical bio, civilized environmental health, universal health, nursing, health care provider, health entrepreneur, health research, health innovation, infectious diseases and their treatment, medical insurance, medical neuroscience, occupational health and safety, public health science and midwifery.
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 60 Documents
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Search results for , issue "Vol. 3 No. 2 (2024): January-May" : 60 Documents clear
Public Health Center Emergency Referral Quality Analysis: Based on National Standard Sasmito, Priyo; Prasetya, Fika Indah; Yektiningtyastuti, Yektiningtyastuti; Rasmita, Dina; Amsyah, Ummul Khairi; Ahmadi, Ahmadi; Aljufri, Salim; Librianty, Nurfanida
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.757

Abstract

The referral quality will affect the outcome of referred patients. The quality of emergency referrals from the Public Health Center (PHC) in Banten Province has not been examined. This study aims to analyze the quality of emergency referrals from PHC and the factors that influence it. Observational analytics with a retrospective approach to a PHC in Banten Province, Indonesia. The reference data for March-May 2023 is taken consecutively. Data on the demographics of referrers and referral cases are recorded. The quality of referrals is analyzed using national personal referral standards. A total of 52 referral cases were involved in the study. Referrals were made by nurses with an average age of 28.2 years with a range of 23-43 years, men (38/73.1%), and with diploma education (30/57.7%). Most of the referring nurses have a valid Basic Life Support (BLS) certificate (46/88.5), are non-civil servants, and work for an average of 3.3 years. Most of the referred cases are surgical (28/53.8) and urgency cases (32/61.5). Forty-four referral cases (84.6%) did not meet national referral standards. The referring nurse's educational background and the urgency of the case had a significant relationship with the quality of referrals with p values < α values of 0.05 (0.000 and 0.000 respectively). There was no significant relationship between referral quality and patient/family satisfaction. Conclusion: Most PHC's emergency referrals to hospital emergency departments (ED) have not complied with national standards. There was a significant relationship between the education of the referring nurse and the level of urgency of the case with the quality of PHC referrals. There is no relationship between referral quality and patient/family satisfaction. National technical guidelines for individual referrals for emergency cases are needed.
Behavior of Pregnant Women in Using Posyandu to Check ANC (Anteatal Care) at Eka Sriwahyuni Clinic Medan 2023 Kamaliah
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.758

Abstract

Antenatal care is crucial for the survival of both the mother and fetus during pregnancy and childbirth. ANC services consist of observation, education, and treatment for pregnant women. The objective of this research is to identify the factors that affect maternal compliance with Antenatal Care Visits at the Eka Sriwahyuni Clinic in Medan. The research design is analytical observation. The study population comprised of 17 pregnant women who attended Posyandu Klinik Eka Sriwahyuni Medan. The sample was selected using total sampling technique. Data was collected through a questionnaire and analyzed using the Chi Square test (p value <0.05). The study found that 64.7% of respondents had sufficient knowledge, 70.6% had attitudes in the sufficient category, and 52.9% had husband support in the sufficient and partial categories. Additionally, 64.7% of respondents had good compliance with visits. The chi-square test results indicate a relationship between knowledge, attitudes, and husband's support factors and compliance with Antenatal Care Visits at the Eka Sriwahyuni Clinic in Medan. To further explore factors that may influence ANC visit compliance, future researchers should consider economic factors and distance from health facilities. This research involved visiting respondents individually, which may have been less effective.
The Role of Family Support Towards Perinatal Depression in Medan Sitorus, Nopitayanti; Putri, Pratiwi Syah; br Kaban, Nurhaida
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.759

Abstract

Perinatal depression, commonly known as postpartum depression, is a serious complication of childbirth that can have significant adverse effects on both the mother and baby. It typically occurs 4-6 weeks after giving birth. Mothers require family and social support to cope with stress during the postpartum period, which is caused by sudden hormonal changes that affect mood swings, the burden of household work, and caring for the baby and mother. This can result in fatigue and lack of sleep. The research aims to analyze the impact of family and social support on the occurrence of depression. The study employed an analytical observational method with a cross-sectional approach to examine the population of postpartum mothers aged 0-6 weeks in the Sukoharjo District Health Service work area. The sample size consisted of 160 respondents selected through Multistage Random Sampling. The study utilized family support questionnaires, social support, and EPDS (Edinburgh Postnatal Depression Scale) as instruments. Logistic regression and Odd Ratio were used for data analysis. The data analysis results for family support yielded a P-value of 0.027 < (0.05) and an OR value of 5.787. The analysis for social support resulted in a P-value of 0.025 < (0.05) and an OR value of 5.693. These results indicate a significant influence of family and social support on the occurrence of DEPRESSION. Mothers who lack family and social support are at a higher risk of experiencing DEPRESSION, with a risk 5.787 and 5.693 times higher, respectively. Healthcare professionals should prioritize the significance of family and social support for postpartum mothers, providing both emotional and technical assistance. This includes aiding mothers in caring for their babies, self-care, and household tasks to mitigate the risk of postpartum depression.
Determinants of Reusing Implant Contraception Through The Safari KB Program in Surakarta Indarwati; Andriyani, Annisa; Maryatun; Handayani, Sri; Susilowati, Tri
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.760

Abstract

Purpose This research analyzes the characteristics and determinants of repeat users of Implan contraception in Surakarta. Method This is a quantitative-research using a cross-sectional survey approach with 117 purposively selected samples. Data was collected using a questionnaire that has been tested for validity and reliability using the Cronbach's Alpha formula, with a reference value of ≥ 0.07. The data was analyzed through univariate and bivariate analyses using the chi-square test and multivariate analysis with logistic regression. The analysis was developed through a three-stage backward conditional modeling process. The first stage involved screening variables that met the criteria for inclusion in multivariate analysis. The second stage analyzed variables that were significantly related to the dependent variable. In the third stage, the variables contributing the most to the dependent variable were determined. Results: In the first stage of modeling analysis, it was found that the education level variable could not be included in the multivariable analysis. In the second stage, six variables were analyzed, and only three variables showed a strong and significant relationship, which were employment status with an Odds Ratio (OR) of 3.05, parity with an OR of 4.62, and the age of the last child with an OR of 2. In the third stage, by examining the magnitude of the Odds Ratio, it was determined that the parity variable with an OR of 4.62 was the strongest variable related to the dependent variable. Conclusion; The characteristics of repeated Implan method users are working mothers, having children aged at least three years, having at least two children, being married for more than 10 years, and having both male and female children.
The Effect of Giving Salak (Salacca Zalacca) Bark Extract on Liver Function and Histopathological Features of the Liver of Male Wistar White Rats Obesity Model Arhami, Ade; Djohan, Lina Tantoso; Rajagukguk, Horas
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.766

Abstract

Nonalcoholic fatty liver disease (NAFLD) Lifestyle factors contribute to fatty liver disease. Physical activity, weight loss, and antioxidant-rich components like Salak herb are used to minimize liver disease. The study examined how Salak bark extract affected liver function in white male Wistar rats, an obesity model, and histopathology. An actual experiment or laboratory experimental design is used in this quantitative research. Four experimental groups of 24 mice were employed. Research data was analyzed with SPSS 25.0. Normality test findings reveal 2-tailed significance of 0.991 > 0.05. The One-Way ANOVA test at a 95% confidence level for the SGOT liver function analysis data showed the same variance, 0.233 (p>0.05) and 0.718 (p>0.05) for the SGPT liver function analysis. Histopathological studies showed snake fruit extract at 300mg/BW scored 3 (Hydropic degeneration), 500mg/BW scored 2 (Parenchymatous degeneration), and 700mg/BW scored 1 (Normal). The phytochemical screening of alkaloids, flavonoids, saponins, tannins, and glycosides demonstrated that Salak bark extract's secondary metabolite concentration contains antioxidant-effective active components. The study demonstrated no inflammation, cell improvement, necrosis, or fat at 700 mg/BW.
Community Diagnosis Activities in Efforts to Reduce Hypertension Cases in the Working Area of Legok Health Center, Legok District, Tangerang District, Banten Province Hansen, Hansen; Novendy, Novendy
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.770

Abstract

Background: Hypertension is one of the most common causes of heart disease, stroke, and kidney failure. Hypertension cases in Indonesia until 2018 were recorded at around 34.1%. There was an increase compared to 2013 which was 25.8%. The number of new cases of hypertension during July to September 2023 at the Legok Health Center is known to increase every month, from 63 to 77 cases with the highest cases in Babakan Village. From the mini-survey, it was found that knowledge about hypertension was still lacking. Objective: To increase public knowledge about hypertension as a whole in the working area of the Legok Health Center. Methods: A community diagnosis approach was used to identify problems using Blum's Paradigm. Problem prioritization was determined using non-scoring Delphi technique and the root cause of the problem was determined through fish-bone diagram. Data on intervention outcomes were obtained through pre and post test questionnaires. Monitoring was conducted using the plan-do-check-action (PDCA) cycle. Results: Based on the results of the analysis using the fishbone diagram, the main problem is lifestyle. The results of the activity obtained all participants scored ≥70 points on the post-test and blood pressure screening ≥140 and / or ≥90 was obtained in 10 people (35.71%). The nutritional status of under-weight was found in 2 people (7.14%), normal in 5 (17.86%), overweight in 3 (10.71%), obesity level 1 in 12 people (42.86%), and obese level 2 in 6 people (21.43%) and abdominal circumference ≥80 cm in 21 people (75%). Conclusion: Based on our intervention, it can be stated that our intervention is successful so that it is expected to reduce hypertension cases at the Legok Health Center
Affecting factors on the incidence of Stunting in children aged 0 – 59 months in the working area of Amplas community health center in Medan city Rahmadhani, Mayasari; Ayu, Mayang Sari; Damanik, Rosa Zorayatamin
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.773

Abstract

Stunting is one of the targets of the Sustainable Developments Goals in order to achieve the goals by 2030, with two indicators, including eliminating famine and malnutrition. Hence, by 2025 it has been predicted that the stunting rate will be 40% reduced. The purpose of this study was to determine the factors that affect the incidence of stunting in 0-59 months children. This is an analytic observational study with a case control approach. In this study, 20 samples were selected using the total sampling technique that are divided into two groups. This study were conducted from October to November 2022. Data collection was obtained by collecting electronic-Community Based Nutrition Registration and reporting anthropometric data on 1-5 years old children. Bivariate analysis using chi-square test and model summary. The results showed that the results of the nutrition chi-square test were obtained at the value of 0.000 < 0.05, the results of the exclusive breastfeeding chi-square test were obtained at the value of 0.001 < 0.05, the results of the early complementary feeding chi-square test were obtained at the value of 0.011 < 0.05, chi-square test result of Low Birth Weight obtained a value of 0.005 < 0.05, chi-square test result of Low Birth Weight of the value of 0.005 < 0.05, chi-square test result of exclusive breastfeeding obtained with a value of 0.005 < 0.05, chi-square test result of early complementary feeding obtained with a value of 0.005 < 0.05. 005 < 0.05, the results of the chi-square test for infectious diseases obtained the value of 0.000 < 0.05, the results of the chi-square test for immunization status obtained the value of 0.007 < 0.05, These results suggest that there is an association between infectious diseases and immunization status.
Analysis of Risk Factors for Stunting Incidents in Posyandu, Hanopan Puskesmas Area, Arse District, South Tapanuli Regency, 2022 Siregar, Mediawaty; Satria, Achmad Angga
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.774

Abstract

Stunting is a chronic nutritional problem caused by insufficient nutritional intake over a long period of time due to providing food that is not in accordance with nutritional needs (Millennium Challenge Account – Indonesia, 2018). Prevalence of stunting in Indonesia, the aim of this research is to analyze risk factors for stunting, such as: LBW. Maternal Education, Family Income, Environmental Sanitation Hygiene, further research can identify methods for promoting stunting prevention in Arse District. This research was conducted from August 2022 to August 2023 at the Posyandu in the Hanopan Community Health Center, Arse District, South Tapanuli Regency. The research design used a cross-sectional approach. The population in this study was 130 people. The sampling technique uses total sampling. Data was collected using height and weight measurements as well as questionnaires and analyzed using chi square with a significant value of <0.05. The results of this research show that there is an influence of education, family income, LBW, provision of clean water and healthy latrines on the risk of stunting at the Posyandu in the Hanopan Community Health Center area. The most dominant risk factor is LBW in related agencies, it is necessary to increase education regarding nutrition in children's growth and development, provide training on processing nutritious foods and foods that are unique and attractive to children.
Antidiabetic Effectiveness Test of Ethanol Extract of Brown Leaves (Theobroma Cacao L.) Against Mice (Mus Musculus) Gunawan, Muhammad; Safriana; Tanjung, Siti Aisyah; Andilala
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.775

Abstract

Diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia that occurs due to abnormalities in insulin secretion, insulin action or both. DM sufferers are increasing from year to year, accompanied by increasing costs of therapy, therefore, as an alternative to controlling blood glucose levels, use natural ingredients such as cocoa leaves. The aim of this research was to determine the effectiveness of ethanol extract of cocoa leaves (Theobroma cacao L.) in reducing blood glucose levels in mice that had been induced by Aloxan. The research method used was experimental research. The research stages were sample collection, sample identification, making simpilicia, examining the characteristics of simpilicia, making extracts using maceration using 96% ethanol solvent, and testing the antidiabetic effect of EEDC in mice induced by alloxan at a dose of 175 mg/kg. bb intraperitoneally. Diabetic mice were divided into 5 groups, each group consisting of 5 mice that were given the test material 50 mg/KgBB of ethanol extract of brown leaves; 100 mg/KgBB; and 200 mg/KgBB, Metformin 65 mg/KgBB, and CMC 0.5%. Next, blood glucose levels were measured on days 3, 6, 9, 12, and 15, the percentage reduction in blood glucose levels was calculated, then the data was analyzed using the One-Way ANOVA method and Duncan's test, to see real differences between treatments. The research results showed that simplicia, the ethanol extract of brown leaves contains flavonoids, alkaloids, tannins, steroids/triterpenoids, saponins and glycosides. Cocoa leaf ethanol extract has effectiveness in lowering glucose levels, at the 5th and 6th hours it shows good effectiveness at a dose of 200 mg/KgBW of (72.16 ± 0.1.51)% and (82.80 ± 0.73 )%, not significantly different from metfromin 65 mg/KgBB of (74.45 ± 1.51)% and (83.29 ± 1.01).
Case Report: 18 Year Old Male Patient with Lupus Nephritis Halim, Kurnia
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.779

Abstract

Systemic lupus erythematosus is a chronic autoimmune disease that can affect various organs of the body, one of the most commonly affected complications is the kidneys and results in lupus nephritis, the percentage of disease occurrence is more than 50% of patients in the first 5 years. Male patients tend to have more aggressive disease with renal, vascular, and cardiac involvement. Based on the criteria of Systemic Lupus International Collaborating Clinics in 2012 defines lupus nephritis if there is proteinuria in 24 hours ≥ 0.5 g / day, there is urine sediment, and there is a decrease in renal filtration function. Although the disease can be diagnosed based on these three things kidney biopsy remains the gold standard of diagnosis. In this case report, an 18-year-old male with lupus history came to the emergency room with the main complaint of fever accompanied by shortness of breath, from the results of supporting examinations obtained anemia, thrombocytopenia, high creatinine, and eGFR of 4 mL/minute, complete urine showed proteinuria, cylinders, and erythrocytes, AP thorax photos showed cardiomegaly, bronchopneumonia, and bilateral pleural effusions. Based on history, physical examination, lab, and imaging, the patient was diagnosed with systemic lupus erythematosus, lupus nephritis, chronic kidney disease, normocytic normochromic anemia, and community acquired pneumonia. The patient received glucocorticoids, immunosuppressants, diuretic, antihypertensives, antibiotics, and other supportive therapy, The patient also received renal replacement therapy in the form of hemodialysis and a kidney biopsy will be done after the condition improves

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